| NPI | 1003526377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BALLUCH-DEAN Ap RN 724-866-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |